The Fat Naturopath

DeAun

The Fat Naturopath podcast provides information for patients and providers of all types on supporting and caring for fat bodies. We also delve into moving through the world in a larger body, the good, the bad, and the challenging.

  1. Oct 7

    Weight Neutral Diabetes Care with Megrette Fletcher, M.Ed., RD, CDE

    In this episode, Dr. DeAun Nelson talks with registered dietitian and certified diabetes educator Megrette Fletcher about what it actually looks like to care for patients with diabetes without making weight the centerpiece of treatment.Megrette brings over 25 years of experience in diabetes education, a background in mindful eating, and a refreshingly direct perspective on why the "just lose weight" approach fails patients, and what to do instead.The conversation covers:DeFronzo's "ominous octet" - the eight core physiological defects in Type 2 diabetes, and why the disease is far more complex than diet culture suggests.Why diabetes is a chronic condition that cannot be cured, including why bariatric surgery is not the exception to that rule.The restriction-binge cycle and its direct impact on blood sugar regulation.What an energy-balanced (non-restrictive) approach to diabetes nutrition actually looks like.How forcing a weight loss conversation causes patients to disengage from diabetes self-management education they're entitled to.The role of mindfulness, self-compassion, and non-food coping strategies in long-term diabetes care.Why asking patients "what's already working?" is one of the most underused tools in diabetes managementMegrette also shares information about her book Diabetes Counseling and Educational Activities: Helping Clients Without Harping on Weight.Want to be notified when new episodes are uploaded? Join our email list - fatnaturopathyoutube.subscribepage.io

  2. Sep 30

    The Fat Acceptance Movement With Shilo George: What Fat Patients Need Providers to Know

    What is it actually like to navigate the healthcare system in a fat body? In this episode of the Fat Naturopath podcast, Dr. DeAun Nelson is joined by educator, activist, and consultant Shilo George for an honest, wide-ranging conversation about fat acceptance as a civil rights issue and what medical providers can do right now to offer genuinely better care.Shilo George is Southern Cheyenne and Arapaho, a longtime fat activist, and the founder of Thluch Kom'tax Tamtam Consulting, which works with people of size on self-advocacy and with providers and medical systems on reducing the harm of fat stigma.She brings both professional expertise and lived experience as a super-fat person navigating daily accessibility barriers, compounded oppressions, and a medical system that too often sees only body size.The conversation covers:What fat acceptance and fat activism are, and why they matter for health outcomes.The compounding effect of navigating fatness alongside other marginalized identities.How inaccessible physical and social environments affect mental, social, and physical health.Healthism, neoliberalism, and why "personal responsibility" framing lets systems off the hook.The role of adverse childhood experiences (ACEs) and how medical providers can inadvertently contribute to harm.Shilo's experience building genuine trust with a provider over time, and what that made possible.The four-page document Shilo gives new providers, and why that kind of patient-led framing shifts the power dynamic in the room.How fat patients are set up to fail by treatments that don't work, and then blamed for the failure.Why delayed care and diagnostic neglect in fat patients is a patient safety issue, not a personal failing.Want to be notified when new episodes are uploaded? Join our email list - fatnaturopathyoutube.subscribepage.io

  3. Sep 23

    Binge Eating Disorder: Weight-Inclusive Care with Amy Pershing, LMSW, ACSW, CCTP-II, EDEI-EDP

    In this episode, Dr. DeAun Nelson sits down with Amy Pershing, LMSW, founder of the Body Wise Binge Eating Disorder Recovery Program, co-founder of Pershing Consulting LLC, and author of Binge Eating Disorder: The Journey to Recovery and Beyond, for a wide-ranging conversation about BED, what recovery actually looks like, and why weight-inclusive care matters for this population.Amy brings 30 years of clinical experience to a conversation that challenges the shame narratives so many people with BED carry. They discuss how binge eating disorder became a formal diagnosis, why it's still so under-recognized, and what healthcare providers can do to create safer, more supportive environments for patients of all sizes.Topics covered in this episode:What binge eating disorder is - and what it isn't The connection between BED and trauma, and how food functions as a coping tool Why restriction often drives binge eating How to recognize BED in patients who may not self-identifyWeight-inclusive treatment and why "success" can't mean weight loss Practical steps patients can take to find the right supportWhy advocacy, for providers and patients alike, is part of recoveryContent note: This episode discusses binge eating, mentions Overeaters Anonymous, and includes a few references to specific food quantities used as clinical examples.Want to be notified when new episodes are uploaded? Join our email list - fatnaturopathyoutube.subscribepage.io

  4. Sep 16

    The History of Health at Every Size & Weight Stigma in Medicine with Deb Burgard, PhD

    In this episode, Dr. DeAun Nelson sits down with Deb Burgard, PhD, FAED - psychologist, activist, one of the founders of the Health at Every Size model, and co-creator of the original bodypositive.com - for a conversation about the history of the fat acceptance movement, failures of diet culture, and what medicine still gets fundamentally wrong about fat bodies.Deb brings decades of perspective to this conversation, from teaching fitness classes for fat women in Oakland in the '80s, to sitting around the table when "Health at Every Size" was named, to doing grand rounds for medical providers today. This is a must-listen for anyone who wants to understand not just the what of weight-inclusive care, but the why, and the history that got us here.Topics covered in this episode:How the fat acceptance movement began How the diet industry regrouped after widespread critique in the '90s and manufactured the "obesity epidemic" narrative The confirmation bias baked into how doctors see fat patientsWhy weight stigma functions like a curse - and what the nocebo effect has to do with it The difference between blaming your body and defending your body Why social support and relationships are the most robust finding in all of public health, and why medicine keeps ignoring it What weight-inclusive care actually looks like in practiceWant to be notified when new episodes are uploaded? Join our email list - fatnaturopathyoutube.subscribepage.io

  5. Sep 9

    Weight Loss Surgery, Diet Research, and What the Science Actually Says

    In this episode, Dr. DeAun Nelson sits down with Fiona Willer, advanced accredited practicing dietitian, university lecturer, PhD candidate, and creator of the Unpacking Weight Science podcast for a deeply substantive conversation about what the weight science research actually shows, and what it doesn't.Fiona brings close to a decade of academic research, years of clinical experience, and a talent for dismantling flawed study design to one of the most information-dense episodes of the podcast. Whether you're a health professional trying to understand the evidence base or a patient trying to make sense of what you've been told, this one is essential listening.Topics covered in this episode:What actually happens to the body after weight loss surgery - gastric sleeve, bypass, and banding - from a nutrition and nourishment perspective Why malnutrition is a near-certain outcome of bariatric surgery, and what that means over decades The "5% weight loss" claim: what those studies actually measured versus what gets reported Why you can't predict someone's diet quality or health from their body size - and what the data actually shows The difference between correlation and causation in weight research, and why it keeps getting ignored Fiona's PhD research findings: what happened to diet quality and mental health when weight control was removed from the equation Why the HAES evidence base is stronger than critics claim The case for size-affirming public health messagingContent note: This episode discusses weight loss surgery frankly, beginning around the 15–20 minute mark and wrapping up around minute 30–35. If that topic is difficult for you, you're welcome to skip ahead.Want to be notified when new episodes are uploaded? Join our email list - fatnaturopathyoutube.subscribepage.io

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The Fat Naturopath podcast provides information for patients and providers of all types on supporting and caring for fat bodies. We also delve into moving through the world in a larger body, the good, the bad, and the challenging.

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